Individual
LACEY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3008 SHAWNEE DR S, BEDFORD, IN 47421-5282
(812) 578-3032
Mailing address
3008 SHAWNEE DR S, BEDFORD, IN 47421-5282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005031A
IN
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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